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阴茎和尿道联合骨折的成功治疗

Successful management of a combined penile and urethral fracture.

作者信息

Lachkar Salim, Boualaoui Imad, Ibrahimi Ahmed, El Sayegh Hachem, Nouini Yassine

机构信息

Department of Urology A Ibn Sina University Hospital Rabat Morocco.

出版信息

IJU Case Rep. 2024 Sep 18;7(6):471-475. doi: 10.1002/iju5.12781. eCollection 2024 Nov.

DOI:10.1002/iju5.12781
PMID:39498192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11531884/
Abstract

INTRODUCTION

This case highlights a rare occurrence of combined penile fracture and urethral injury in a 35-year-old male, emphasizing the critical need for accurate diagnosis and precise surgical intervention in such cases.

CASE PRESENTATION

After a mishap during sexual intercourse, the patient faced intense penile pain, swelling, and urethrorrhagia. Advanced diagnostic methods, particularly MRI, confirmed a disruption in the tunica albuginea within the left corpora cavernosa. The patient underwent emergent surgical repair, addressing both urethral and corpora cavernosa injuries, leading to a successful postoperative course.

CONCLUSION

This case report underscores the paramount importance of comprehending and effectively managing complex urological traumas. Timely and appropriate surgical intervention is crucial for ensuring optimal patient recovery and well-being in instances of combined penile and urethral injuries.

摘要

引言

本病例突出显示了一名35岁男性罕见地同时发生阴茎骨折和尿道损伤,强调了在此类病例中准确诊断和精确手术干预的迫切需求。

病例介绍

在性交过程中发生意外后,患者出现剧烈的阴茎疼痛、肿胀和尿道出血。先进的诊断方法,尤其是磁共振成像(MRI),证实左侧海绵体内白膜破裂。患者接受了紧急手术修复,同时处理尿道和海绵体损伤,术后恢复顺利。

结论

本病例报告强调了理解和有效管理复杂泌尿外科创伤的至关重要性。对于阴茎和尿道联合损伤的情况,及时且适当的手术干预对于确保患者最佳恢复和健康至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba2/11531884/ca86b9dc56c9/IJU5-7-471-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba2/11531884/be324a79983b/IJU5-7-471-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba2/11531884/66b4e26e08cb/IJU5-7-471-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba2/11531884/ca86b9dc56c9/IJU5-7-471-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba2/11531884/be324a79983b/IJU5-7-471-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba2/11531884/66b4e26e08cb/IJU5-7-471-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba2/11531884/ca86b9dc56c9/IJU5-7-471-g003.jpg

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本文引用的文献

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Immediately repaired penile fractures: age is the only predictor of postoperative long-term functional outcomes.即刻修复的阴茎骨折:年龄是术后长期功能结局的唯一预测因素。
Sex Med. 2023 Aug 29;11(4):qfad048. doi: 10.1093/sexmed/qfad048. eCollection 2023 Aug.
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Arch Ital Urol Androl. 2019 Jan 17;90(4):283-287. doi: 10.4081/aiua.2018.4.283.
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Primary urethral reconstruction results in penile fracture.原发性尿道重建导致阴茎骨折。
Ann R Coll Surg Engl. 2018 Jan;100(1):21-25. doi: 10.1308/rcsann.2017.0098. Epub 2017 Sep 15.
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Penile fracture with bilateral corpus cavernosa tears and complete urethral disruption.阴茎骨折伴双侧海绵体撕裂及完全性尿道断裂。
Int Urol Nephrol. 2017 Aug;49(8):1399-1400. doi: 10.1007/s11255-017-1606-y. Epub 2017 Apr 29.
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Penile fracture: surgical repair and late effects on erectile function.阴茎骨折:手术修复及对勃起功能的远期影响
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